Garzón-Muvdi Tomás, Quiñones-Hinojosa Alfredo
The Johns Hopkins Hospital, Department of Neurosurgery, Brain Stem Cell Laboratory, Johns Hopkins University, Baltimore, MD 21231, USA.
ILAR J. 2009;51(1):3-23. doi: 10.1093/ilar.51.1.3.
Considerable attention has focused on the study of neural stem cells (NSCs) as therapy for neurodegenerative diseases. The mammalian brain harbors NSCs throughout life mainly in the subventricular zone (SVZ) as well as the subgranular zone. NSCs in the SVZ are a specialized subpopulation of astrocytes that maintain contact with the ventricle and vascular structures. Components of the SVZ microenvironment, or niche, include intercellular interactions, extracellular matrix proteins, and soluble factors, all of which aid in NSC proliferation, self-renewal, and multipotentiality. Multiple studies demonstrate that endogenous neurogenesis responds to insults such as ischemic stroke, multiple sclerosis and other neurodegenerative diseases, and even brain tumors, supporting the existence of remarkable plasticity and significant regenerative potential in the mammalian brain. Further, in response to recruitment cues from damaged brain tissue NSCs not only "home" to sites of disease but also integrate into functional tissues and appear to acquire the morphological and physiological properties of neurons, astrocytes, and oligodendrocytes. In this review we focus on neurogenesis in the SVZ and on recruitment cues that promote homing and integration of NSCs to sites of disease in the brain. We also discuss animal models of important human neurodegenerative diseases in which transplantation of neural stem cells has been tested.
作为神经退行性疾病的治疗方法,神经干细胞(NSCs)的研究已受到广泛关注。哺乳动物大脑终生都存在神经干细胞,主要位于脑室下区(SVZ)以及颗粒下区。SVZ中的神经干细胞是星形胶质细胞的一个特殊亚群,与脑室和血管结构保持接触。SVZ微环境或生态位的组成部分包括细胞间相互作用、细胞外基质蛋白和可溶性因子,所有这些都有助于神经干细胞的增殖、自我更新和多能性。多项研究表明,内源性神经发生对缺血性中风、多发性硬化症和其他神经退行性疾病甚至脑肿瘤等损伤有反应,这支持了哺乳动物大脑具有显著可塑性和强大再生潜力的观点。此外,响应受损脑组织的招募信号,神经干细胞不仅会“归巢”到疾病部位,还会整合到功能组织中,并似乎获得神经元、星形胶质细胞和少突胶质细胞的形态和生理特性。在这篇综述中,我们重点关注SVZ中的神经发生以及促进神经干细胞归巢和整合到脑内疾病部位的招募信号。我们还讨论了已对神经干细胞移植进行测试的重要人类神经退行性疾病的动物模型。